- 著者
- Tim C. Norton Paul A. Oakley Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.34, no.1, pp.71-75, 2022 (Released:2022-01-12)
- 参考文献数
- 36
[Purpose] To present the case of a dramatic improvement in the cervical lordosis and relief from chronic headaches and neck pain in a pediatric having a recent neck trauma. [Participant and Methods] A 10 year old male presented with recent neck trauma, neck pain and pre-existing chronic headaches. Cervical range of motion was limited with pain. X-ray analysis showed dramatic loss of cervical lordosis and an acute atlantoaxial rotatory fixation. Chiropractic Biophysics technique methods incorporating spinal manual adjustments, cervical extension traction and corrective exercises were used to restore normal cervical lordosis. Treatments were performed intensively over 6.5-weeks, with a 17-month long-term follow-up. [Results] The pediatric patient responded well to treatment with near complete resolution of cranio-cervical complaints. The cervical lordosis was corrected to age-appropriate magnitude, the coronal symmetry was restored, and both were maintained after nearly 1.5 years. [Conclusion] Chiropractic Biophysics technique which includes the cervical extension traction using the pediatric Denneroll orthotic was effective in restoring lordosis in a pediatric patient with cervical kyphosis and chronic headaches presenting with recent neck pains from a traumatic origin. Routine X-ray of the cervical spine is recommended for patients presenting with craniocervical symptoms as spine alignment is often overlooked as pathognomonic for these conditions.
- 著者
- Deed E. Harrison Paul A. Oakley Joseph W. Betz
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.30, no.2, pp.271-276, 2018 (Released:2018-02-22)
- 参考文献数
- 49
- 被引用文献数
- 5
[Purpose] To present the case of the dramatic reduction in pain, disability, and neurologic symptoms following the reduction of forward head translation and increased cervical curvature in a patient suffering from post-surgical radiculopathy. [Subject and Methods] A 52-year-old male mechanic presented with chronic neck pain, unilateral paresthesia along the C5 and C6 dermatome distributions and diminished unilateral grip strength for 12 years following a C5–C6 cervical discectomy and fusion. Outcome measures included the neck disability index, the numerical pain rating scale, and the Zebris cervical range of motion system. Radiographs and computerized posture analysis revealed excessive forward head posture. Initial traditional ‘symptom-relief’ chiropractic rehabilitation was provided, followed by CBP® structural rehabilitation of head and neck posture with a 2.5 year follow-up. [Results] The initial traditional chiropractic rehabilitation did not improve posture or disability scores. CBP methods resulted in radiograph-verified postural alignment improvements corresponding with clinically significant improvements in the patient’s neurologic condition, pain and disability scores. These results were maintained at a 2.5 year follow-up with minimal treatment. [Conclusion] Patients with post-surgical axial symptoms and/or radicular complaints should be screened for altered cervical alignment and anterior head translation. Future studies should attempt to duplicate these positive results in a trial with long-term follow-up.
- 著者
- Paul A. Oakley Sean Z. Kallan Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.34, no.11, pp.759-771, 2022 (Released:2022-11-01)
- 参考文献数
- 83
- 被引用文献数
- 5
[Purpose] To characterize the case report evidence of Chiropractic BioPhysics® (CBP®) technique methods applied to increase cervical lordosis and improve forward head posture. [Methods] The CBP Non-profit website as well as PubMed and Index to Chiropractic literature were searched for case reports/series documenting the increase of cervical lordosis and improvement of forward head posture in the treatment of various craniocervical spinal disorders by CBP technique methods. [Results] Sixty patients were reported in 41 unique manuscripts detailing the improvement in cervical spine alignment by CBP technique methods. On average, there was a 14° improvement in cervical lordosis and a 12 mm reduction in forward head position after 40 treatments over 16 weeks with a 5-point reduction in pain rating scores. Thirty-eight percent of cases included follow-up showing only slight loss of lordosis, but maintenance of pain and disability improvements after an average of 1.5 treatments per month for 1.8 years. [Conclusion] An abundance of reports document improvement in craniocervical and other ailments by CBP methods that increase cervical lordosis. Routine radiographic imaging of the spine is recommended as it is safe and the only current practical method of screening for critical biomechanical biomarkers of sagittal spine alignment.
- 著者
- Justin M. Anderson Paul A. Oakley Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.31, no.2, pp.153-158, 2019 (Released:2019-02-07)
- 参考文献数
- 39
- 被引用文献数
- 6
[Purpose] To demonstrate the reduction of symptoms related to Parkinson’s disease by improvement in posture. [Participant and Methods] A 59-year-old male patient presented with a prior diagnosis of Parkinson’s. Symptoms included a resting right hand tremor, intermittent ‘freezing episodes’ with gait, mild ataxia with shuffling on toes and bradykinesia assisted with a cane, as well as low back pain and right knee pain. Radiography revealed gross postural and spine deformity. The patient received Chiropractic BioPhysics care including mirror image exercises, spinal traction, spinal adjustments as well as gait rehabilitation. [Results] After 38 treatments over 5 months, the patient had significant improvements in posture alignment as well as gait, balance, hand tremors, low back and knee pains and SF-36 values. A 21 month follow-up revealed the patient had remained essentially well and the initial postural improvements were maintained. [Conclusion] This case demonstrates improvement of various symptoms in a patient with Parkinson’s disease. Since poor posture is a long known clinical manifestation of this disorder, it is proposed that the improvement of posture in these patients may lead to improved outcomes. X-ray use in the diagnosis and management in those with spine deformity is safe and not carcinogenic.
- 著者
- Monica Henshaw Paul A. Oakley Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.30, no.9, pp.1202-1205, 2018 (Released:2018-09-04)
- 参考文献数
- 26
- 被引用文献数
- 6
[Purpose] To present the case of a total reduction of pseudoscoliosis spinal deformity in an adult female suffering from recurrent back pains. [Participant and Methods] A 29 year old female suffering from recurrent back pains was diagnosed with lateral thoracic translation posture; aka pseudoscoliosis. The patient was initially given 12 treatments of relief care including spinal manipulative therapy, then another 24 treatments receiving the same plus mirror image® translation traction and exercises. [Results] The patient achieved a complete reduction of the lateral thoracic translation posture (pseudoscoliosis) as indicated on a post-treatment radiograph after 36 total treatments. Most orthopedic tests became normalized and the patients back pains were significantly improved after the correction of posture, but only slight improvements after the initial 12 sessions of manipulative therapy only. [Conclusion] Pseudoscoliosis is structurally reducible by use of CBP® mirror image® lateral translation traction methods and exercises and led to the resolution of back pains in this case. The diagnosis of pseudoscoliosis as opposed to true scoliosis is very important and likely underdiagnosed in common practice. Upright radiographic imaging is essential to differentiate these two spinal disorders and offers no harm to the patient. Comprehensive assessment including routine use of x-ray is recommended to differentiate between spinal disorders.
- 著者
- Miles O. Fortner Paul A. Oakley Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.30, no.2, pp.266-270, 2018 (Released:2018-02-22)
- 参考文献数
- 41
- 被引用文献数
- 8
[Purpose] To present the case of the non-surgical restoration of cervical lordosis in a patient suffering from chronic whiplash syndrome including chronic neck pain and daily headaches resulting from previous whiplash. [Subject and Methods] A 31 year old female presented with a chief complaint of chronic neck pain and headaches for 12 years, correlating temporally with a sustained whiplash. These symptoms were not significantly relieved by previous chiropractic spinal manipulative therapy. The patient had cervical hypolordosis and was treated with Chiropractic BioPhysics® protocol including extension exercises, manual adjustments and cervical extension traction designed to increase the cervical lordosis. [Results] The patient received 30 treatments over approximately 5-months. Upon re-assessment, there was a significant increase in global C2–C7 lordosis, corresponding with the reduction in neck pain and headaches. [Conclusion] This case adds to the accumulating evidence that restoring lordosis may be key in treating chronic whiplash syndrome. We suggest that patients presenting with neck pain and/or headaches with cervical hypolordosis be treated with a program of care that involves cervical extension traction methods to restore the normal cervical lordosis.
- 著者
- Jason O. Jaeger Paul A. Oakley Robert R. Moore Edward P. Ruggeroli Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.30, no.1, pp.103-107, 2018 (Released:2018-01-27)
- 参考文献数
- 46
- 被引用文献数
- 8
[Purpose] To present the case of the resolution of right temporomandibular joint dysfunction (TMJD) following the correction of a right lateral head translation posture. [Subject and Methods] A 24 year old female reported facial pain and jaw clicking in the right TMJ. Radiography revealed a 19 mm right head (shift) translation posture. TMJ vibration analysis showed characteristic abnormalities for the right TMJ. The patient was treated with CBP® technique mirror image® left sided exercises, and traction methods as well as spinal manipulative therapy (SMT). [Results] After 36 treatments over a 12-week time period, a complete correction of the lateral head posture was achieved corresponding with a complete resolution of jaw pain and clicking. TMJ vibration analysis demonstrated normal right side TMJ characteristics following treatment. [Conclusion] Abnormal head/neck postures, such as lateral head translation, may be an unrealized source of TMJD and may be explained through the ‘regional interdependence’ model or by how seemingly unrelated anatomy may be associated with a primary complaint.
- 著者
- Joshua S. Haggard Jennifer B. Haggard Paul A. Oakley Deed E. Harrison
- 出版者
- The Society of Physical Therapy Science
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.29, no.11, pp.2062-2067, 2017 (Released:2017-11-22)
- 参考文献数
- 38
- 被引用文献数
- 10
[Purpose] To present a case demonstrating the reduction of progressive thoracolumbar scoliosis by incorporating Chiropractic BioPhysics® (CBP®) technique’s mirror image® exercises, traction and blocking procedures based on the ‘non-commutative properties of finite rotation angles under addition’ engineering law. [Subject and Methods] A 15-year-old female presented with a right thoracolumbar scoliosis having a Cobb angle from T5–L3 of 27° and suffering from headaches and lower back pains. Her curve had progressed over the last two years despite being under traditional chiropractic care. [Results] The patient was treated using CBP structural rehabilitation protocols incorporating mirror image traction, home blocking, corrective exercises and spinal manipulation. The patient was treated 24 times (including 45 home self-treatment blocking sessions) over the course of 15-weeks. Her thoracolumbar curve reduced from 27° to 8° and her headache and low back pain disability improved significantly. [Conclusion] CBP mirror image exercises and traction are consistent with other successful non-surgical approaches and show promise in treating adolescent idiopathic scoliosis.
- 著者
- Deed E. Harrison Paul A. Oakley
- 出版者
- 理学療法科学学会
- 雑誌
- Journal of Physical Therapy Science (ISSN:09155287)
- 巻号頁・発行日
- vol.29, no.11, pp.2044-2050, 2017 (Released:2017-11-22)
- 参考文献数
- 45
- 被引用文献数
- 13
[Purpose] This case series presents the unique application of the non-commutative property of finite rotation angles under addition to the CBP® mirror image® treatment protocol for adult lumbar and thoraco-lumbar scoliosis. [Subjects and Methods] Five adult patients having lumbar/thoraco-lumbar scoliosis and back pain, and having at least two prominent thoracic postural abnormalities according to Harrison’s rotations and translations of thoracic postures were included. After initial assessment, mirror-image stress x-rays were taken. For each patient, one stress film was taken using the order of mirror image movements with the largest displacement followed by the second largest (primary + secondary) and one stress film was taken in the opposite order (secondary + primary). The consecutive ordered movements that resulted in the largest reduction of curvature were chosen as the order-specific series of movements all exercises and postural traction were to be performed for each patient. Spinal manipulation was also performed. [Results] All patients had a reduction of curvature concomitant with a reduction in pain levels. [Conclusion] This unique treatment approach offers a patient-specific, targeted structural rehabilitative procedure to stress the spine towards a more straightened configuration. Adult lumbar and thoraco-lumbar curves can be reduced and improved by these non-invasive CBP methods.